Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $271.41 / $332.32	Facility		$63.71	$271.41	$332.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $63.71 / $75.50	Professional		$35.43	$63.71	$75.50
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $259.11 / $8,639.91	Facility		$199.53	$259.11	$8,639.91
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $61.35 / $61.35	Professional		$61.35	$61.35	$61.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $102.18 / $228.48	Facility		$51.12	$102.18	$228.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $75.54 / $113.06	Professional		$24.85	$75.54	$113.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $46.40 / $106.49	Professional		$36.18	$46.40	$106.49
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $213.87 / $328.92	Facility		$66.84	$213.87	$328.92
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $64.48 / $324.83	Professional		$39.32	$64.48	$324.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $102.24 / $260.77	Facility		$51.12	$102.24	$260.77
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $75.54 / $113.06	Professional		$24.85	$75.54	$113.06
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $78.65 / $78.65 / $78.65	Facility		$78.65	$78.65	$78.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $78.65 / $78.65	Professional		$56.33	$78.65	$78.65
United Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $47.19 / $112.03	Professional		$26.00	$47.19	$112.03